Individual provider Active NPI

Amanda Nicole Harty, MA, CCC-SLP

  • Speech-Language Pathologist
  • Plainfield, IN
National Provider Identifier
1205075561
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12146018 Issued in IN
Practice address
160 Plainfield Village Dr Ste 101
Plainfield, IN 46168-2782
Phone
(463) 888-0118
NPI assigned
Feb 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12146018 IN Primary

Addresses

Primary practice location

160 Plainfield Village Dr Ste 101
Plainfield, IN 46168-2782

Mailing address

611 White Lick LN
Plainfield, IN 46168-1274
Phone (317) 340-4764

Other practice location 1

611 white lick lane
Plainfield, IN 46168
Phone (317) 340-4764

Other names 1

  • Mandi Keeler Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
12146018INMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hopebridge, LLC Speech-Language Pathologist PastSince Dec 14, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1205075561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 WHITE LICK LN",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461681274",
            "telephone_number": "317-340-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 PLAINFIELD VILLAGE DR STE 101",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682782",
            "telephone_number": "463-888-0118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 white lick lane",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IN",
            "postal_code": "46168",
            "country_code": "US",
            "telephone_number": "317-340-4764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTY",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-10",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "12146018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDI",
            "last_name": "KEELER",
            "credential": "MA, CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plainfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.